Cover Story


Improving Value With TDABC

Time-driven activity-based costing presents significant opportunities to enhance quality of care and outcomes while reducing costs-and provides a foundation for value-based payment.

By Robert S. Kaplan

Web Extra: Learn more about using time-driven activity-based costing to improve patient outcomes while reducing costs.

Special Section: Chair Profile 

Leading by Example

HFMA Chair Kari Cornicelli believes finance leaders have the right set of financial and leadership skills to lead change within their organizations-and to teach future finance leaders to do the same.  

Web Special

Health Care Success: Achieving 'Triple Aim' in Israel

Trade mission finds overall improvement initiative possible despite worries over survival of its socialist approach to health care.

By Domenic Delmonico


How Cleveland Clinic used TDABC to Improve Value

At Cleveland Clinic, a time-driven activity-based costing pilot project revealed significant opportunities  to improve processes  of care and reduce costs related to heart-valve surgery.

By Christopher J. Donovan, Mike Hopkins, Benjamin M. Kimmel, Stephanie Koberna, Carrie A. Montie


Making Process Improvement 'Stick'

Healthcare organizations that develope process improvement initiatives and are able to successfully sustain gains share five traits in common.

By Quint Studor


Embarking on Performance Improvement

Healthcare provider can best improve quality of care and reduce costs by establishing performance improvement programs with analytics, defined terms, and a focus on evidence-based practices.

By Bobbi Brown, Leslie Hough Falk


Preparing for 501(r)

An IRS Final Rule will specify financial assistance, billing and collection requirements that hospitals must meet to maintain or achieve tax-exempt status.

By Keith Hearle

Web Extra: New Requirements for Maintaining Tax-Exempt Status


Sustainable Risk Management for an Evolving Healthcare Arena

The evolving healthcare reform environment requires organizations to undertake sustainable risk management, which involves continually reevaluating and preparing for the risks posted by changes.

By Sarah A. Cole, Raj Chaudhary, Derek A. Bang


Operational Prototyping: A Tool for Delivering Value

An important way for healthcare providers to improve care quality, reduce costs, and deliver greater value is to standardize and replicate best practices across the continuum of care.

By Rebecca Flink


Total Cost of Ownership: The Role of Clinical Engineering

A hospital can avoid many hidden costs associated with equipment service contracts by having the in-house clinical engineering department assume greater responsibility for this function.

By Dale Hockel, Michael Kintner  

Publication Advertising

Business Profile
Nuance: Boosting Providers Over the EHR Tipping Point with CDI

Spotlight Advertorials
IntelliCentrics: Credentialing helps hospitals protect patients—and the bottom line
Somnia: A Hospital's Guide to Exploring Anesthesia Options

Ad Index  


HFMA Executive Roundtable
Key Strategies for Managing Population-Based Risk   

HFMA Educational Report
The ICD:10 Delay: What's Next for Your Strategy  

Focus Areas

Revenue Cycle

Responding to an Insurer's Recoupment of Past Payments

Providers should be aware of regulations that may govern the issuance of overpayment demand letters by insurers and incorporate strategies to avoid recoupment of valid payments.

By Jennifer Rudenick Ecklund, Andrew Cookingham



The Integration Aspiration

Integration is a common goal when health systems acquire medical practices, but it may take various forms and continue to evolve beyond the classic model.

By Keith D. Moore, Katherine M. Eyestone, Dean C. Coddington  


From the Chair

Building a 'For Purpose' Mind Set

Finance leaders have the right skills and knowledge to help transform health care.

By Kari Cornicelli, FHFMA, CPA


From the President

I'm Still an Optimist, but ... 

If the healthcare cost trend resume its upward trajectory, pressures to adopt value-based payment will only continue to mount.

By Joseph J. Fifer, FHFMA, CPA


Executive Interview

Douglas Hastings: Legal Perspectives on Trends in Capital Access

"More and more, discussions about capital access are less about bricks and mortar," says Douglas A. Hastings, JD, chair of the board of directors of Epstein Becker & Green, PC.

By Jeni Williams


Eye on Washington

Provider Payments Face Short-Term Local Cuts, Long-Term Federal Cuts 

At this time, providers are unlikely to feel more pressure from employers and Medicaid than from Medicare cuts. Only in the longer term are they likely to see significant Medicare reductions.

By Chad Mulvaney


Healthcare Value

The Drive for Value: Key Roles for the CEO

Quality and safety programs cannot work effectively unless the CEO takes a proactive approach to implementing and driving them.

By John Byrnes  


5 Ways To...

5 Ways to Trim Excess Costs

Five strategies can boost the "yield"  of cost reduction efforts by focusing on savings opportunities that are often overlooked.

By Brian Channon


Data Trends

Hospital Median Operational Measures and Indicators, Calendar Year 2013, at a Glance

A general industry benchmark for key operational hospital measures and indicators gives hospital leaders an at-a-glance view of how their organizations compare broadly with peer organizations.



Member Spotlight: Fiery Passion for Finance

Publication Date: Monday, June 02, 2014